Johnny Lee Cosby, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S992TA577 Issued in AL

Practice address

4721 26TH Ave
Meridian, MS 39305-4703

Phone

(601) 485-2020

NPI assigned

Jan 25, 2006

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi Band of Choctaw IndiansGroup PAC ID 4385546662, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Choctaw Health Center Hospital, Philadelphia, MS, CCN 250127

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mississippi Band of Choctaw Indians

  dba Choctaw Health Center

  • General Acute Care Hospital
  • Choctaw, MS
  • NPI 1790865780

  TX

  Medicare reassignment Care Compare group NPD
• Primary Eyecare & Optical of Meridian, P.a.

  • Optometrist
  • Meridian, MS
  • NPI 1578757076
  Medicare reassignment NPD
• Mississippi Band of Choctaw Indians

  dba Conehatta Satellite Clinic

  • Federal Public Health Clinic/Center
  • Conehatta, MS
  • NPI 1013092600
  NPD
• Mississippi Band of Choctaw Indians

  dba Bogue Chitto Satellite Clinic

  • Federal Public Health Clinic/Center
  • Philadelphia, MS
  • NPI 1144305731
  NPD
• Mississippi Band of Choctaw Indians

  dba Red Water Satellite Clinic

  • Federal Public Health Clinic/Center
  • Carthage, MS
  • NPI 1275611543
  NPD
• Mississippi Band of Choctaw Indians

  dba Choctaw Health Center Ambulance

  • Ambulance
  • Choctaw, MS
  • NPI 1548358153
  NPD
• Primary Eyecare South LLC

  • Optometrist
  • Meridian, MS
  • NPI 1386252609
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1528038296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 ESPEY HEDGEPETH RD",
            "city": "BAILEY",
            "state": "MS",
            "postal_code": "393209705",
            "telephone_number": "601-934-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 26TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393054703",
            "telephone_number": "601-485-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Boone Rd",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983121894",
            "country_code": "US",
            "telephone_number": "360-475-4144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Fuller Rd Ste A01",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "39309",
            "country_code": "US",
            "telephone_number": "601-679-2213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSBY",
        "first_name": "JOHNNY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S992TA577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina M Copeland, CRNA
• Matthew Thomas Copeland, FNP-C
• Leigh Ann Coppins
• Cornerstone Caregiving East LLC
• Cornerstone Health Agency LLC
• Cassandra Courtney
• Amy Covington
• Mary Ann Cowart, M.D.
• Chauncey Craig
• Amanda Cranford, FNP

• Optometrist in Meridian, MS
• Providers in Meridian, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.